Remote PFS Specialist | Revenue Cycle & Denials

Banner Health; United States; Remote; USD 42,000 - 64,000; Full time

Benefits offered by this job

Remote work

Equipment provided

Job summary

Banner Health in the United States is seeking a PFS Representative to support billing and follow-up activities within the Revenue Cycle. The role is full-time and remote, with Banner providing the necessary equipment.

The ideal candidate will have 1 year of patient financial services or medical claims experience, and familiarity with EOBs, appeals, and common claim codes. This role supports both Acute and Ambulatory services and aims to optimize payments per contractual terms.

Qualifications

• Experience in patient financial services (Central Billing) or medical claims is preferred.
• Experience with submitting appeals and understanding of EOBs is preferred.
• General knowledge of codes used for claim processing.

Responsibilities

• Coordinate and facilitate patient billing and collection activities in billing, payment posting, collections, payor claims research and other accounts receivable work.
• Reconcile accounts, pursue balances, and work with payors, contracts and payor customer service to maximize reimbursement.
• Research payments and denials, determine short/over payments, and make appeals and corrections as needed.
• Build strong relationships with internal clients and provide excellent customer service to patients, families, providers, and external customers.
• Respond to calls and make outbound calls to resolve billing, payment and accounting issues.

Skills

Patient financial services

EOB appeals

Denials knowledge

Education

High school diploma/GED

Job description

Banner Health in the United States is seeking a PFS Representative to support billing and follow-up activities within the Revenue Cycle. The role is full-time and remote, with Banner providing the necessary equipment.

The ideal candidate will have 1 year of patient financial services or medical claims experience, and familiarity with EOBs, appeals, and common claim codes. This role supports both Acute and Ambulatory services and aims to optimize payments per contractual terms.